Nicola, Frederic G
Nicola, Frederic G is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Ste 300, Marina Del Rey CA 90292-6358. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Other Service Providers / Specialist is his primary health care specialty. Nicola, Frederic G can be contacted via phone (310) 574-0400.Contact Information
Primary practice address
13160 Mindanao Way Ste 300
Marina Del Rey CA 90292-6358
Phone: (310) 574-0400
Fax: (310) 574-0485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G38262 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G38262 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G38262 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | G38262 | California |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | G38262 | California |
Profile Details
| NPI number | 1184736480 |
|---|---|
| LBN Legal business name | Nicola, Frederic G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184736480 | NPPES |
| California | Other | 953951031 | TAX ID |
Popular Providers
-
Leu, Adelheid Katharina
1011 Camino Del Mar 212, Del Mar CA 92014-2640 -
Aulakh, Ranjit Singh
299 12Th St Ste A , Marina CA 93933-6003 -
Patel, Nita Rajani
4560 Admiralty Way Suite 101, Marina Del Rey CA 90292-5423 -
Schafer, Pamela R
1343 Stratford Ct , Del Mar CA 92014-2327 -
Bloch, Ralph
4316 Marina City Dr 931, Marina Del Rey CA 90292-5832 -
Lech, Agnieszka
2930 2Nd Ave 200, Marina CA 93933-6244 -
Khoury, Joyce Ann
8405 Pershing Dr Ste 301 Playa Del Rey, Playa Del Rey CA 90293-7861 -
Dvorkina, Sophia
13700 Tahiti Way Apt 349 , Marina Del Rey CA 90292-6540